| NPI | 1346569456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 0101253231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101253231) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2023-08-07 |